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General NPI Number Information
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NPI Number | 1528690732
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Entity Type | Individual
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Provider Name | DAWSON GREEN NP, DC
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Gender | Male
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Dates
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Enumeration Date | 02/05/2020
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | 841 S HILLSIDE ST
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City | WICHITA
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State | KS
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Zip | 67211-3005
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Country | US
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Telephone | 316-364-3030
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Fax |
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Provider Business Mailing Address
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Address Line | 1026 E 14TH ST
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City | KEARNEY
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State | MO
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Zip | 64060-8728
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Country | US
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Telephone | 425-457-2285
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2016016282
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2020032639
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 10013535
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 53-81608-101
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License Number State | KS
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